2024-2025 Buffalo Prep Scholar Nomination Form

2024-2025 Buffalo Prep Scholar Nomination Form

With a focus on racially and culturally affirming practices, Buffalo Prep advocates for educational access and equity and provides programming to academically ambitious scholars of color. We strive to nurture our scholars’ brilliance while empowering them to engage civically as their authentic selves.
This nomination form can be completed by anyone who wishes to recommend a scholar for our programming. If you are interested in nominating a scholar, please complete the form below.

Our office will send the scholar and their family information about our programming and invite them to apply. If you have any questions, please contact Elizabeth Guzmán at (716) 829-2108 / eguzman@buffaloprep.org.
Scholar's first name:*
Scholar's last name:*
What grade is the scholar currently in?*

5th6th7th
What school does the scholar attend?*
What is the scholar's primary address?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian name:*

First NameLast Name
Parent/Guardian email:*
Parent/Guardian phone number:*
Please enter a valid phone number.
What is your relationship to this scholar? (check all that apply)*

TeacherCounselorCoachParent or guardianRelativeFamily friendOther
If you answered "other" above, please specify?
What is your name?*
First and Last
If you work for a school, please include the schools name below:
Would you like a representative from the Buffalo Prep Admissions Office to follow up with you?*

YesNo
Should be Empty: